NEW Customer Credit Application

Please choose which company you wish to work with: *
Type of Business *
Currency Preferred *
Ownership *
 
Business Property *


AUTHORIZATION FOR CREDIT REPORT The undersigned is executing this Authorization for Credit Report individually for the purpose of authorizing Tom Lange Company, Inc. to obtain a consumer credit report from time to time on the undersigned individual(s) through credit and consumer reporting agencies or other sources, in order to further evaluate the creditworthiness of such individual in connection with the credit evaluation process and the proposed extension of business credit to the Applicant. The undersigned, as an individual hereby knowingly consents to the use of such credit report in accordance with the federal fair credit reporting act as a contained in 15 U.S.C. 1681, et seq., as amended from time to time. *
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TERMS AND CONDITIONS This Customer Account Application (“Application”) is made _______________, and each of it’s respective subsidiaries and affiliates (collectively “Seller”) for the purpose of inducing Seller to extend credit accommodations to the Applicant named below, and in accordance with the following terms: 1. RIGHT TO TERMINATE. Upon approval of this Application, Seller in its sole discretion, and notwithstanding any request of Applicant, shall have the right to terminate Applicant’s credit privileges under this Application at any time without prior notice to Applicant except as otherwise provided by law. 2. GOVERNING TERMS. All purchases by Applicant of goods and/or services from Seller will be made in accordance with the terms and conditions of this Application and any invoices and/or other documents evidencing Applicant’s obligations to Seller, all of which are incorporated herein by this reference. These payment terms may not be extended or modified in any manner without the express written authorization of Seller’s Credit Manager. 3. FINANCE CHARGES AND COLLECTION FEES. The entire outstanding balance due to Seller on all invoices shall become due in full immediately upon default in the payment of any invoice. Applicant agrees to pay finance charges in the amount of 1.5% per month [18% annually] or the highest rate permitted by law, whichever is less, on any past due amount until collected. Should any action be commenced between Applicant and Seller concerning the sums due under any invoice issued by Seller to Applicant or the rights and duties of any Applicant and Seller in connection with any such invoice, the prevailing party in such action shall be entitled to, in addition to such other relief may be granted, an award as and for the actual attorney’s fees and costs incurred in bringing such action and/or enforcing any judgment granted thereafter. 4. GOVERNING LAW. This Application and all transactions between Applicant and Seller shall be governed by and interpreted in accordance with the laws and decisions of the state of Illinois, without regard to the conflicts of law provisions thereof and all actions and proceedings arising from, relating to or in connection with this Application or transaction shall be subject to the exclusive jurisdiction of said state. The place for any action filed in connection with this application or said transaction shall be St. Louis, MO. 5. CLAIMS PROCEDURE AND PRICE ADJUSTMENTS. Applicant expressly agrees that Seller shall not be responsible for any product nonconformity as to quantity, quality, condition, or price, unless noted on the original delivery receipts at the time of delivery and only if Seller is notified in writing of any such nonconformity within twenty-four (24) hours of delivery. Under no circumstances shall any price adjustment be made on any invoice absent written notice as required under this paragraph and Seller’s written consent to such adjustment. 6. NO OTHER TERMS. Except as to quantity of goods ordered, no terms and conditions set forth in any purchase order or other form prepared by Applicant will apply to sales by Seller to Applicant unless Seller agrees to such terms in writing. 7. DENIAL OF CREDIT. If this Application is not fully approved or if any other adverse action is taken with respect to Applicant’s credit with Seller, Applicant has the right to request within 60 days of Seller’s notification of such adverse action, a statement of specific reasons for such action, which statement will be provided within 30 days of said request. To obtain the statement of specific reasons, please contact our credit department. The approximate initial amount of credit that Applicant is required per month shall not be binding upon Seller, nor shall Seller incur liability by granting, reducing, increasing or refusing such amount. Applicant hereby certifies that the information furnished under this Application and any other financial statements furnished in connection herewith, is true and correct and that this information is being furnished to Seller for the purpose of inducing Seller to extend credit to Applicant, and understands that Seller intends to rely upon such information. Applicant understands and agrees to be bound by the above terms and conditions and upon such other terms that appear on all invoices and other documents furnished by Seller from time to time, all of which are incorporated herein by reference, and to advise Seller of any material change in the information provided herein, including but not limited to, change of ownership, address or telephone number. Applicant understands that Seller will retain this Application whether or not it is approved *
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